title: Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update.
abstract: OBJECTIVE
  Stress urinary incontinence (SUI) is the most common form of incontinence impacting on quality of life (QOL) and is associated with high financial, social, and emotional costs. The purpose of this study was to provide an update existing Dutch evidence-based clinical practice guidelines (CPGs) for physiotherapy management of patients with stress urinary incontinence (SUI) in order to support physiotherapists in decision making and improving efficacy and uniformity of care.
  
  
  METHODS
  A computerized literature search of relevant databases was performed to search for information regarding etiology, prognosis, and physiotherapy assessment and management in patients with SUI. Where no evidence was available, recommendations were based on consensus. Clinical application of CPGs and feasibility were reviewed. The diagnostic process consists of systematic history taking and physical examination supported by reliable and valid assessment tools to determine physiological potential for recovery. Therapy is related to different problem categories. SUI treatment is generally based on pelvic floor muscle exercises combined with patient education and counseling. An important strategy is to reduce prevalent SUI by reducing influencing risk factors.
  
  
  RESULTS
  Scientific evidence supporting assessment and management of SUI is strong.
  
  
  CONCLUSIONS
  The CPGs reflect the current state of knowledge of effective and tailor-made intervention in SUI patients.
authors.affiliation: Department of Epidemiology and Centre for Evidence Based Physiotherapy & Clinical Guidelines (CEBP), Maastricht University, Maastricht, The Netherlands, Nol.Bernards@han.nl.
authors.forename: Arnold T M
authors.initials: AT
authors.lastname: Bernards
authors.forename: Bary C M
authors.initials: BC
authors.lastname: Berghmans
authors.forename: Marijke C Ph
authors.initials: MC
authors.lastname: Slieker-Ten Hove
authors.forename: J Bart
authors.initials: JB
authors.lastname: Staal
authors.forename: Rob A
authors.initials: RA
authors.lastname: de Bie
authors.forename: Erik J M
authors.initials: EJ
authors.lastname: Hendriks
mesh_terms: D003376:Counseling; D005260:Female; D006801:Humans; D009426:Netherlands; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities / Q000639:trends*; D017410:Practice Guidelines as Topic; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000628:therapy*